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根治性手术是胃癌的主要治疗方法。胰瘘是胃癌根治术后的主要并发症之一,处理不及时可能危及病人生命。胃癌根治术后胰瘘的发生主要与手术方式、器械操作、胰腺和病人全身的基本情况密切相关。胃肠外科医生应该熟悉胰瘘发生的危险因素并加以关注,加强预防。胰瘘的治疗应根据分期而定,及早治疗,从而改善预后。
Radical surgery is the main treatment of gastric cancer. Pancreatic fistula is one of the main complications after radical operation of gastric cancer, and the treatment may not endanger the patient’s life. The incidence of pancreatic fistula after radical operation of gastric cancer is mainly related to the operation mode, operation of instruments, the basic situation of the pancreas and the whole body of the patient. Gastrointestinal surgeons should be familiar with the risk factors for pancreatic fistula and pay attention to strengthen prevention. The treatment of pancreatic fistula should be based on staging, early treatment, thereby improving the prognosis.